额肌瓣悬吊术与眶隔筋膜瓣在重度上睑下垂中的矫正效果及安全性分析  

Corrective Effect and Safety Analysis of Levator Muscle Shortening and Orbital Septal Fascia Flap in Severe Ptosis

作　　者：王英俊 韩军 桑彦东 WANG Ying-jun;HAN Jun;SANG Yan-dong(Department of Plastic Surgery,Nanyang Third People's Hospital,Nanyang 473000,Henan Province,China)

机构地区：[1]南阳市第三人民医院整形美容科,河南南阳473000

出　　处：《罕少疾病杂志》2022年第6期36-38,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的通过将额肌瓣悬吊术与眶隔筋膜瓣治疗重度上睑下垂的疗效进行对比,探讨额肌瓣悬吊术与眶隔筋膜瓣治疗重度上睑下垂的有效性及可行性。方法收集2017年3月至2020年8月在我院就诊治疗的重度上睑下垂患者92例。根据手术治疗方式不同进行分组,即对照组、观察组,均46例。对照组采用额肌瓣悬吊术治疗,观察组采用眶隔筋膜瓣联合额肌筋膜瓣悬吊术治疗,同时两组患者均进行常规眼科检查,主要检查的内容有眼底、眼前节及屈光的状态。观察两组患者术后矫正效果、术后1月、6月检测患者眼睑状况及术后6月并发症发生率。结果观察组矫正率97.83%显著高于对照组(P<0.05)。与对照组比较,观察组术后1月、术后6月上睑回退量均显著更低(P<0.05),术后1月、术后6月额肌力评分均显著更高(P<0.05);两组睑裂高度比较,P>0.05。与对照组比较,观察组并发症发生率4.35%显著更低(P<0.05)。结论眶隔筋膜瓣治疗重度上睑下垂,矫正效果更优,安全性更高,值得推广。Objective To compare the curative effect of levator shortening surgery and orbital septal fascia flap in the treatment of severe ptosis,and to explore the effectiveness and feasibility of levator shortening surgery and orbital septal fascia flap in the treatment of severe ptosis.Methods A total of 92 patients with severe ptosis who were treated in our hospital from March 2017 to August 2020 were collected.According to different surgical treatment methods,they were divided into groups,namely the control group and the observation group,with 46 cases in each group.The control group was treated with frontalis muscle flap suspension,and the observation group was treated with orbital septal fascia flap combined with frontalis muscle flap suspension.At the same time,both groups underwent routine ophthalmological examinations,the main contents of which were fundus,anterior segment and refraction.status.The postoperative correction effect,the eyelid condition of the patients at 1 month and 6 months after surgery,and the incidence of complications at 6 months after surgery were observed in the two groups.Results The correction rate of 97.83%in the observation group was significantly higher than that in the control group(P<0.05).Compared with the control group,the upper eyelid retraction in the observation group was significantly lower at 1 month and 6 months after the operation(P<0.05),and the frontal muscle strength scores were significantly higher at 1 month and 6 months after the operation(P<0.05);comparison of the height of the palpebral fissure between the two groups,P>0.05.Compared with the control group,the incidence of complications in the observation group was significantly lower(4.35%)(P<0.05).Conclusion The orbital septal fascia flap in the treatment of severe ptosis has better correction effect and higher safety,and is worthy of promotion.

关 键 词：额肌瓣悬吊术 眶隔筋膜瓣 重度上睑下垂 矫正效果 安全性 

分 类 号：R779.64[医药卫生—眼科]